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The impact of junior doctors’ worktime arrangements on their fatigue and well-being

Philip Tucker Orcid Logo, Menna Brown Orcid Logo, Anna Dahlgren, Gwyneth Davies Orcid Logo, Philip Ebden, Simon Folkard, Hayley Hutchings Orcid Logo, Torbjörn Åkerstedt

Scandinavian Journal of Work, Environment and Health, Volume: 36, Issue: 6, Pages: 458 - 465

Swansea University Authors: Philip Tucker Orcid Logo, Menna Brown Orcid Logo, Gwyneth Davies Orcid Logo, Philip Ebden, Simon Folkard, Hayley Hutchings Orcid Logo

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DOI (Published version): 10.5271/sjweh.2985

Abstract

Objective Many doctors report working excessively demanding schedules that comply with the European Working Time Directive (EWTD). We compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and wel...

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Published in: Scandinavian Journal of Work, Environment and Health
ISSN: 0355-3140 1795-990X
Published: Scandinavian Journal of Work, Environment and Health 2010
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URI: https://cronfa.swan.ac.uk/Record/cronfa10407
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We compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and well-being in recent weeks.Methods Completed by 336 doctors, the questionnaires focused on the respondents’ personal circumstances, work situation, work schedules, sleep, and perceptions of fatigue, work–life balance and psychological strain.Results Working 7 consecutive nights was associated with greater accumulated fatigue and greater work–life interference, compared with working just 3 or 4 nights. Having only 1 rest day after working nights was associated with increased fatigue. Working a weekend on-call between 2 consecutive working weeks was associated with increased work–life interference. Working frequent on-calls (either on weekends or during the week) was associated with increased work–life interference and psychological strain. Inter-shift intervals of &lt;10 hours were associated with shorter periods of sleep and increased fatigue. The number of hours worked per week was positively associated with work–life interference and fatigue on night shifts.Conclusion The current findings identify parameters, in addition to those specified in the EWTD, for designing schedules that limit their impact on doctors’ fatigue and well-being.</abstract><type>Journal Article</type><journal>Scandinavian Journal of Work, Environment and Health</journal><volume>36</volume><journalNumber>6</journalNumber><paginationStart>458</paginationStart><paginationEnd>465</paginationEnd><publisher>Scandinavian Journal of Work, Environment and Health</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0355-3140</issnPrint><issnElectronic>1795-990X</issnElectronic><keywords>European Working Time Directive; health; medical worker; physician; risk; shift work; sleep; work–life interference</keywords><publishedDay>1</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2010</publishedYear><publishedDate>2010-11-01</publishedDate><doi>10.5271/sjweh.2985</doi><url/><notes/><college>COLLEGE NANME</college><department>Psychology School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PSYS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>This work was supported by the Wales Office of Research &amp; Development for Health and Social Care, part of the Wales Assembly Government (grant numberReF06/2/ 220).</funders><projectreference/><lastEdited>2024-07-11T10:37:08.1567317</lastEdited><Created>2012-03-27T17:05:53.9166857</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Philip</firstname><surname>Tucker</surname><orcid>0000-0002-8105-0901</orcid><order>1</order></author><author><firstname>Menna</firstname><surname>Brown</surname><orcid>0000-0003-1427-1648</orcid><order>2</order></author><author><firstname>Anna</firstname><surname>Dahlgren</surname><order>3</order></author><author><firstname>Gwyneth</firstname><surname>Davies</surname><orcid>0000-0003-1218-1008</orcid><order>4</order></author><author><firstname>Philip</firstname><surname>Ebden</surname><order>5</order></author><author><firstname>Simon</firstname><surname>Folkard</surname><order>6</order></author><author><firstname>Hayley</firstname><surname>Hutchings</surname><orcid>0000-0003-4155-1741</orcid><order>7</order></author><author><firstname>Torbjörn</firstname><surname>Åkerstedt</surname><order>8</order></author></authors><documents><document><filename>10407__30874__aebfac5d25894dccaf958c0a8197c65c.pdf</filename><originalFilename>10407.VoR.pdf</originalFilename><uploaded>2024-07-11T10:34:02.9767633</uploaded><type>Output</type><contentLength>276371</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>This work is licensed under a Creative Commons Attribution 4.0 International License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 10407 2012-03-27 The impact of junior doctors’ worktime arrangements on their fatigue and well-being 7d07250cf5f1cbaf8788af9f48cf000a 0000-0002-8105-0901 Philip Tucker Philip Tucker true false cf3c261a9100f79a3f1d018fa4066595 0000-0003-1427-1648 Menna Brown Menna Brown true false 92d69cf8519a334ced3f55142c811d95 0000-0003-1218-1008 Gwyneth Davies Gwyneth Davies true false 77cd731811a900264e405b16d287a2a6 Philip Ebden Philip Ebden true false 6c54366648a979dfec8d338d85c1d100 Simon Folkard Simon Folkard true false bdf5d5f154d339dd92bb25884b7c3652 0000-0003-4155-1741 Hayley Hutchings Hayley Hutchings true false 2012-03-27 PSYS Objective Many doctors report working excessively demanding schedules that comply with the European Working Time Directive (EWTD). We compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and well-being in recent weeks.Methods Completed by 336 doctors, the questionnaires focused on the respondents’ personal circumstances, work situation, work schedules, sleep, and perceptions of fatigue, work–life balance and psychological strain.Results Working 7 consecutive nights was associated with greater accumulated fatigue and greater work–life interference, compared with working just 3 or 4 nights. Having only 1 rest day after working nights was associated with increased fatigue. Working a weekend on-call between 2 consecutive working weeks was associated with increased work–life interference. Working frequent on-calls (either on weekends or during the week) was associated with increased work–life interference and psychological strain. Inter-shift intervals of <10 hours were associated with shorter periods of sleep and increased fatigue. The number of hours worked per week was positively associated with work–life interference and fatigue on night shifts.Conclusion The current findings identify parameters, in addition to those specified in the EWTD, for designing schedules that limit their impact on doctors’ fatigue and well-being. Journal Article Scandinavian Journal of Work, Environment and Health 36 6 458 465 Scandinavian Journal of Work, Environment and Health 0355-3140 1795-990X European Working Time Directive; health; medical worker; physician; risk; shift work; sleep; work–life interference 1 11 2010 2010-11-01 10.5271/sjweh.2985 COLLEGE NANME Psychology School COLLEGE CODE PSYS Swansea University This work was supported by the Wales Office of Research & Development for Health and Social Care, part of the Wales Assembly Government (grant numberReF06/2/ 220). 2024-07-11T10:37:08.1567317 2012-03-27T17:05:53.9166857 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Philip Tucker 0000-0002-8105-0901 1 Menna Brown 0000-0003-1427-1648 2 Anna Dahlgren 3 Gwyneth Davies 0000-0003-1218-1008 4 Philip Ebden 5 Simon Folkard 6 Hayley Hutchings 0000-0003-4155-1741 7 Torbjörn Åkerstedt 8 10407__30874__aebfac5d25894dccaf958c0a8197c65c.pdf 10407.VoR.pdf 2024-07-11T10:34:02.9767633 Output 276371 application/pdf Version of Record true This work is licensed under a Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title The impact of junior doctors’ worktime arrangements on their fatigue and well-being
spellingShingle The impact of junior doctors’ worktime arrangements on their fatigue and well-being
Philip Tucker
Menna Brown
Gwyneth Davies
Philip Ebden
Simon Folkard
Hayley Hutchings
title_short The impact of junior doctors’ worktime arrangements on their fatigue and well-being
title_full The impact of junior doctors’ worktime arrangements on their fatigue and well-being
title_fullStr The impact of junior doctors’ worktime arrangements on their fatigue and well-being
title_full_unstemmed The impact of junior doctors’ worktime arrangements on their fatigue and well-being
title_sort The impact of junior doctors’ worktime arrangements on their fatigue and well-being
author_id_str_mv 7d07250cf5f1cbaf8788af9f48cf000a
cf3c261a9100f79a3f1d018fa4066595
92d69cf8519a334ced3f55142c811d95
77cd731811a900264e405b16d287a2a6
6c54366648a979dfec8d338d85c1d100
bdf5d5f154d339dd92bb25884b7c3652
author_id_fullname_str_mv 7d07250cf5f1cbaf8788af9f48cf000a_***_Philip Tucker
cf3c261a9100f79a3f1d018fa4066595_***_Menna Brown
92d69cf8519a334ced3f55142c811d95_***_Gwyneth Davies
77cd731811a900264e405b16d287a2a6_***_Philip Ebden
6c54366648a979dfec8d338d85c1d100_***_Simon Folkard
bdf5d5f154d339dd92bb25884b7c3652_***_Hayley Hutchings
author Philip Tucker
Menna Brown
Gwyneth Davies
Philip Ebden
Simon Folkard
Hayley Hutchings
author2 Philip Tucker
Menna Brown
Anna Dahlgren
Gwyneth Davies
Philip Ebden
Simon Folkard
Hayley Hutchings
Torbjörn Åkerstedt
format Journal article
container_title Scandinavian Journal of Work, Environment and Health
container_volume 36
container_issue 6
container_start_page 458
publishDate 2010
institution Swansea University
issn 0355-3140
1795-990X
doi_str_mv 10.5271/sjweh.2985
publisher Scandinavian Journal of Work, Environment and Health
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Objective Many doctors report working excessively demanding schedules that comply with the European Working Time Directive (EWTD). We compared groups of junior doctors working on different schedules in order to identify which features of schedule design most negatively affected their fatigue and well-being in recent weeks.Methods Completed by 336 doctors, the questionnaires focused on the respondents’ personal circumstances, work situation, work schedules, sleep, and perceptions of fatigue, work–life balance and psychological strain.Results Working 7 consecutive nights was associated with greater accumulated fatigue and greater work–life interference, compared with working just 3 or 4 nights. Having only 1 rest day after working nights was associated with increased fatigue. Working a weekend on-call between 2 consecutive working weeks was associated with increased work–life interference. Working frequent on-calls (either on weekends or during the week) was associated with increased work–life interference and psychological strain. Inter-shift intervals of <10 hours were associated with shorter periods of sleep and increased fatigue. The number of hours worked per week was positively associated with work–life interference and fatigue on night shifts.Conclusion The current findings identify parameters, in addition to those specified in the EWTD, for designing schedules that limit their impact on doctors’ fatigue and well-being.
published_date 2010-11-01T10:37:07Z
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score 11.016235

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